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The Merck Manual--Second Home Edition logo
 
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Chapter 118. Biology of the Digestive System
Topics: Introduction | Throat and Esophagus | Stomach | Small Intestine | Pancreas | Liver | Gallbladder and Biliary Tract | Large Intestine | Rectum and Anus | Effects of Aging
 
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Introduction

The digestive system, which extends from the mouth to the anus, is responsible for receiving food, breaking it down into nutrients (a process called digestion), absorbing the nutrients into the bloodstream, and eliminating the undigestible parts of food from the body. The digestive tract consists of the mouth (see Section 8, Chapter 109), throat, esophagus, stomach, small intestine, large intestine, rectum, and anus. The digestive system also includes organs that lie outside the digestive tract: the pancreas, the liver, and the gallbladder.

click here to view the figure See the figure Digestive System.

The abdominal cavity is the space that holds the digestive organs. It is bordered by the abdominal wall (composed of layers of skin, fat, muscle, and connective tissue) in front, the spinal column in back, the diaphragm above, and the pelvic organs below. It is lined, as is the outer surface of the digestive organs, by a membrane called the peritoneum.

Experts have recognized a powerful connection between the digestive system and the brain. For example, psychologic factors greatly influence contractions of the intestine, secretion of digestive enzymes, and other functions of the digestive system. Even susceptibility to infection, which leads to various digestive system disorders, is strongly influenced by the brain. In turn, the digestive system influences the brain. For example, long-standing or recurring diseases such as irritable bowel syndrome, ulcerative colitis, and other painful diseases affect emotions, behaviors, and daily functioning. This two-way association has been called the brain-gut axis.

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